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State Licensed Lead Actuarial Consultant
A company is looking for a Lead Actuarial Consultant - Risk Adjustment (Remote). Key Responsibilities Build and maintain the CMS HCC risk scoring model using FFS claims data Lead quarterly risk adjustment analysis and forecasting for Medicare populations Document and present summary review memos for risk adjustment analysis and forecasting Required Qualifications, Training, and Education Bachelor's degree in Math, Statistics, Economics, Actuarial Science, or a related field 8+ years of actuarial experience with 5+ years in healthcare 3+ years of experience with CMS/HHS HCC risk adjustment modeling 2+ years of experience with a CMMI ACO Model is strongly preferred Associate of the Society of Actuaries certification is required
A company is looking for a Lead Actuarial Consultant - Risk Adjustment (Remote).
Key Responsibilities
Build and maintain the CMS HCC risk scoring model using FFS claims data
Lead quarterly risk adjustment analysis and forecasting for Medicare populations
Document and present summary review memos for risk adjustment analysis and forecasting
Required Qualifications, Training, and Education
Bachelor's degree in Math, Statistics, Economics, Actuarial Science, or a related field
8+ years of actuarial experience with 5+ years in healthcare
3+ years of experience with CMS/HHS HCC risk adjustment modeling
2+ years of experience with a CMMI ACO Model is strongly preferred
Associate of the Society of Actuaries certification is required